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Thursday, November 12, 2015

Physiotherapy and PROCEDURE: Manual Therapy – mobilization techniques

Procedure - Manual Therapy

DEFINITION/DESCRIPTION:
These techniques are described in general terms and may be used for assessment or treatment of any neuromusculoskeletal tissue in the body

Mobilization is a passive movement performed in such a manner that it is at all times within the ability of the model to prevent the movement. There are 2 type of passive mobilization performed for the purpose of relieving pain and restoring pain free functional movements;
  1. passive accessory movements are those movements which a subject cannot perform themselves
  2. passive physiological movements are those movements which a subject could perform themselves

Grades of Movement:
Grade I      a small amplitude movement in resistance free range
Grade II     a large amplitude movement in resistance free range
Grade III    a large amplitude movement into resistance
Grade IV    a small amplitude movement into resistance

CONTRAINDICATIONS:
-           clinical features of cauda equine compression e.g. disturbance of bladder or bowel function, perinea anesthesia
-           clinical features of cord compression
-           vascular disorders
-           vertigo
-           hyper mobility syndromes
-           infections
-           active inflammatory arthropathies
-           metabolic bone disease and endocrine disorders
-           tumors
-           congenital anomalies

HAZARDS/COMPLICATIONS/PRECAUTIONS:
-           development and/or exacerbation of symptoms including protective muscle spasm or guarding during attempts to position model would contra-indicate continuation of the technique

INFECTION CONTROLS:
-           appropriate hand hygiene
appropriate hygiene of plinth, pillows, all surfaces in direct contact with subject



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